Outcome after fixation of metastatic proximal femoral fractures: A systematic review of 40 studies

J Surg Oncol. 2016 Sep;114(4):507-19. doi: 10.1002/jso.24345. Epub 2016 Jul 3.

Abstract

Endoprosthetic reconstruction, intramedullary nailing, and open reduction internal fixation (ORIF) are the most commonly practiced surgical strategies for treatment of metastatic proximal femoral fractures. This review describes functional outcome, local, and systemic complications. All three surgical strategies result in reasonable function on average; however, wide ranges indicate that both poor and good functional levels are obtained. We found that the overall reoperation rate was comparable for endoprosthesis and intramedullary nailing, but was higher for ORIF. J. Surg. Oncol. 2016;114:507-519. © 2016 Wiley Periodicals, Inc.

Keywords: bone; cancer; fracture; osseous; pathological.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Aged
  • Female
  • Femoral Fractures / surgery*
  • Femoral Neoplasms / complications
  • Femoral Neoplasms / secondary*
  • Fracture Fixation, Internal / adverse effects
  • Fracture Fixation, Internal / methods*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Implantation
  • Reoperation